Download A4Medicine Mobile App

Empower Your RCGP AKT Journey: Master the MCQs with Us! 🚀

A4Medicine

Viral hemorrhagic fevers (VHFs) : Introduction

What Are Viral Haemorrhagic Fevers (VHFs)?


Key Facts:

  • VHFs = severe illnesses caused by RNA viruses from 4 families:

    • Arenaviridae (e.g. Lassa)

    • Bunyaviridae (e.g. CCHF, Rift Valley)

    • Filoviridae (e.g. Ebola, Marburg)

    • Flaviviridae (e.g. Dengue, Yellow fever, KFD)


  • Zoonotic origin: spread from rodents, bats, mosquitoes, ticks


  • Main features:

    • High fever

    • ↑ vascular permeability → hypotension, shock

    • Bleeding diathesis (↑ bleeding risk)

    • Multi-organ dysfunction


  • Transmission:

    • Direct contact with infected animals, vectors, or bodily fluids


Epidemiology of Viral Haemorrhagic Fevers (VHFs)


🌐 Global Overview of Viral Haemorrhagic Fevers


VHF Disease Region Annual Burden & Notes
Dengue Asia, Americas, Africa ~390 million infections (96 million symptomatic); hyperendemic in many urban areas (World Health Organization)
Lassa fever West Africa 300,000–500,000 infections/year, ~5,000 deaths; rodent-borne (Centers for Disease Control and Prevention)
Ebola / Marburg Sub-Saharan Africa High case fatality rates (CFR): Ebola up to ↑63%, Marburg ranges from 24–88% (World Health Organization)
Crimean-Congo Haemorrhagic Fever (CCHF) Africa, Middle East, Asia, Europe Tick-borne; wide geographic spread; nosocomial (hospital-acquired) outbreaks reported (European Centre for Disease Prevention and Control)
Rift Valley fever Africa, Arabian Peninsula Affects humans & livestock; outbreaks linked to ↑ rainfall
Yellow fever Africa, South America Preventable via vaccination; cyclical outbreaks persist
Hantavirus Americas,...

Try our Free Plan to get the full article.